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Improving the maturation rate of human oocytes collected ex vivo during the cryopreservation of ovarian tissue.

Abstract：

PURPOSE:The aim of the present study was to improve the in vitro maturation (IVM) procedure using oocytes from surplus ovarian tissue after fertility preservation. METHODS:Twenty-five patients aged 17-37 years were included in the study. Maturation was compared between oocytes collected in HEPES-buffered medium or saline, and we determined whether transport on ice prior to oocyte collection affected maturation. Two different IVM media were used that were supplemented with and without recombinant human midkine. Mature oocytes were assessed for aneuploidy using next-generation sequencing (NGS). RESULTS:On average, 36 immature oocytes were collected from each patient (range 7-90, N = 895). Oocytes recovered from HEPES-buffered medium matured at a higher rate than oocytes recovered from saline (36% vs 26%, p < 0.01). Ovarian transportation on ice prior to the procedure negatively affected maturation compared with non-transported samples (42% vs 27%, p < 0.01). The addition of midkine improved maturation rate (34% vs 27%, p < 0.05). On average, 11 MII oocytes were obtained per patient (range 1-30). NGS of 53 MII oocytes and their first polar bodies indicated that 64% were euploid. CONCLUSIONS:The study demonstrated unexpectedly high number of immature oocytes collected from surplus ovarian tissue without any stimulation. The overall MII rate was one in three, resulting in a total number of MII oocytes that was similar to the number obtained after ovarian stimulation. If these MII oocytes prove suitable for IVF, they will provide a substantial improvement in fertility preservation for patients and advance IVM as an interesting platform for further improvements in assisted reproduction.

journal_name

J Assist Reprod Genet

journal_title

Journal of assisted reproduction and genetics

authors

Nikiforov D,Junping C,Cadenas J,Shukla V,Blanshard R,Pors SE,Kristensen SG,Macklon KT,Colmorn L,Ernst E,Bay-Bjørn AM,Ghezelayagh Z,Wakimoto Y,Grøndahl ML,Hoffmann E,Andersen CY

doi

10.1007/s10815-020-01724-7

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

891-904

issue

eissn

1058-0468

issn

1573-7330

pii

10.1007/s10815-020-01724-7

journal_volume

pub_type

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Improving the maturation rate of human oocytes collected ex vivo during the cryopreservation of ovarian tissue.